Organization
KENNETH S. BLUMENFELD, MD. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S. BLUMENFELD M.D. (M.D.)
(408) 358-0133
Entity
Organization
Contact information
Practice address
2577 SAMARITAN DR, SUITE 710, SAN JOSE, CA 95124-4100
(408) 358-0133
(408) 358-8134
Mailing address
2577 SAMARITAN DR, SUITE 710, SAN JOSE, CA 95124-4100
(408) 358-0133
(408) 358-8134
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A509000
—
CA
Enumeration date
05/09/2007
Last updated
08/21/2012
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